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Sierra Stonegate
Substance Abuse Rehabilitation Facility in Fair Oaks, California
NPI 1255667234

Sierra Stonegate is a Substance Abuse Rehabilitation Facility based in Fair Oaks, CA. Sierra Stonegate practices in Fair Oaks, CA. The NPI Number for Sierra Stonegate is 1255667234 and holds a License No. (California).

The current practice location address for Sierra Stonegate is 4140 Buchanan Dr, Fair Oaks, CA and can be reached out via phone at 530-354-0304 and via fax at 916-941-7498.

Location: 4140 Buchanan Dr, Fair Oaks, CA, 95628-6104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255667234
Provider Name
Sierra Stonegate
Credential
Provider Entity Type
Organization
Address
4140 Buchanan Dr, Fair Oaks, CA, 95628-6104
Phone Number
530-354-0304
Fax Number
916-941-7498
Provider Enumeration Date
10/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340099AP 01 CA DRUG AND ALCOHOL PROGRAMS
340099AP 01 CA RESIDENTIAL CARE FACILITY
113408 01 CA AMERICAN ACADEMY OF PAIN MANAGEMENT
institution
Provider Business Practice Location Address Details
Address
4140 Buchanan Dr
City
Fair Oaks
State
California
Zip
95628-6104
Phone Number
530-354-0304
Fax Number
916-941-7498
person
Provider Business Mailing Address Details
Address
4140 Buchanan Dr
City
Fair Oaks
State
California
Zip
95628-6104
Phone Number
530-354-0304
Fax Number
916-941-7498
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
340099AP (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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